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APPLICR.TiQ. l FOR CONSTRUCT �N PERMIT � <br />TO BE COMPLETED IN BLACK INK--0LEASE PRINT <br />�EATING SYSTEId:�,GAS ❑ ELECTRIC O � <br />BUILDING DEPARTMENT <br />259-8810 <br />�. DEMOLITION COMBINATION BUILDING �MECHANICAL PLUMBING SIGN <br />:F!:ANT MAIIApOFE55 ""' '� � <br />�qCw�ECi0110E5�GNEfl MRM1�U�RESS CILY LiF PIqNE <br />GENEHKLIXiiP/.CLOR MMlAp011E55 Clb bt` PHONE StA1EUCENSE• <br />. �..�. oio V��ONE SiAI[LILENSE� � <br />ClA$$ CF <br />NEW <br />io* <br />ADOITION <br />0 <br />REPAIR <br />zm <br />OEMOLITIOY WOODSTOVFJFFPLINSEFT <br />cexrnc*rEawrv�yo��o�+exo <br />,!CSC(�7� % 7� " %. <br />SiRiE IIGENSE � <br />BUILDING RELOCATION <br />.on+c � HEHEBY CERTIFV THAT I HAVE FEAD AN� EXAMINE� THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />'raoceatt�seowrvne�owoennecNvouncowes PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISn'PEOF <br />WORK WILL BE COMPLETE� WITH WHETHER SPECIFIED NEREIN OR <br />aiocK oc NOT. THE GRANTING OF A PERMIT DOES IJOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PPOVISIONS OF ANV <br />OTHER STATE OR IOCAL LAW REGULATWG CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AI:THORIZED BV TME <br />OWNER OF THIS PROPERTY TO PEHFORM TME WORK FOR WHICH <br />- APPLICATION IS MADE AND I COMPLY WITH THE $TATE <br />CONTRACTORS LAW 1827 R FND 296200 WAC. <br />7 <br />��� � SI S�Lv �Li'-�.f'E'� x u 1' %%� �? "��1�/L� /-��-c� <br />" 7— . a ninx� � ocr <br />FOR OFFICE USE ONLY: <br />CCCIIPANLVlOAD <br />5 <br />vnCRr+rsire reeo <br />BUILDING <br />OLLIIi�%� FOWUMiVMeY�i15 - <br />'�^°IX'° PLIIMBING <br />Be5[MENi MECHRNICAL <br />HEiGNiLiMliFiiON A��ITIONALPLANGHECK <br />SPRINKLER <br />STAiE BIlIL01NG SUFCNRflfiE <br />i.ITY OF EVEflETT PUBLIC WOFNS <br />LOCRL SIILES <br />TA%CODE IS 3105 �*�� <br />